Healthcare Provider Details

I. General information

NPI: 1558664904
Provider Name (Legal Business Name): GINA GAIL BARBER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2010
Last Update Date: 06/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST
LEXINGTON KY
40536-1835
US

IV. Provider business mailing address

601 S FLOYD ST STE. 804
LOUISVILLE KY
40202-1835
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-1432
  • Fax:
Mailing address:
  • Phone: 502-583-0127
  • Fax: 502-583-1239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number3006710
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: